Comparison of Mortality Rates and Functional Scores of Proximal Femur Nail and Partial Hip Arthroplasty in Intertrochanteric Femur Fractures: A Retrospective Study

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dc.authoridPOLAT, YUSUF/0000-0002-1650-9712
dc.authoridTepedelenlioglu, Huseyin Emre/0000-0002-3946-8554
dc.contributor.authorTepedelenlioglu, Hueseyin Emre
dc.contributor.authorOrhan, Ozlem
dc.contributor.authorAydin, Murat
dc.contributor.authorPolat, Yusuf
dc.contributor.authorUslu, Mehmet Baran
dc.contributor.authorArikan, Sefik Murat
dc.date.accessioned2024-11-07T13:35:06Z
dc.date.available2024-11-07T13:35:06Z
dc.date.issued2023
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractObjective: Intertrochanteric femur fractures are common fractures with increasing life expectancy. The aim of treatment is to provide early mobilization and pre-fracture function in patients. In this study, we aimed to compare the mortality and function scores of two treatment modalities (proximal femoral nail and bipolar hemiarthroplasty) commonly used in the treatment of intertrochanteric femur fractures in a secondary care hospital. Materials and Methods: The study was planned for patients who underwent proximal femoral nail (PFNA) and bipolar hemiarthroplasty (BHA) due to femoral intertrochanteric fracture in a second-care hospital between 2017 and 2020. The data from a total of 199 patients were analyzed retrospectively. The operation method, age, sex, vitality, operation time, and hospitalization were recorded. The short form-36 (SF-36) questionnaire, recorded at the last visit, was evaluated in the surviving patients. Results: No significant difference has been found for gender and age compared to the operation method. However, the mortality rate of BHA is found to be higher than the rate of PFNA (p<0.001). Compared to the time of death, no significant difference is found between operation methods. The operative time and hospitalization were significantly lower in the PFNA (p<0.01, p<0.05; respectively). At postoperative measurements, SF-36 physical functioning, energy/fatigue, emotional well-being, social functioning, pain, general health, and total scores were higher in the PFNA. Conclusion: In this study, PFNA has low mortality and high functional scores in treating femoral intertrochanteric fractures. Therefore, PFNA is safer in a secondary hospital treating femoral intertrochanteric fractures and is recommended as a primary treatment option.
dc.identifier.doi10.12996/gmj.2023.67
dc.identifier.endpage332
dc.identifier.issn2147-2092
dc.identifier.issue3
dc.identifier.scopus2-s2.0-85165014561
dc.identifier.scopusqualityQ4
dc.identifier.startpage327
dc.identifier.urihttps://doi.org/10.12996/gmj.2023.67
dc.identifier.urihttps://hdl.handle.net/11480/16335
dc.identifier.volume34
dc.identifier.wosWOS:001017855500013
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherGazi Univ, Fac Med
dc.relation.ispartofGazi Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectIntramedullary nail
dc.subjectMortality
dc.subjectHemiarthroplasty
dc.subjectIntertrochanteric fractures
dc.subjectFemoral fractures
dc.titleComparison of Mortality Rates and Functional Scores of Proximal Femur Nail and Partial Hip Arthroplasty in Intertrochanteric Femur Fractures: A Retrospective Study
dc.title.alternativePFNA ve Parsiyel Kalça Artroplastisi Uygulanan İntertrokanterik Femur Kırıklarının Mortalite Oranları ve Fonksiyonel Skorlarının Karşılaştırılması: Retrospektif Çalışma
dc.typeArticle

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